TREATMENT OF PAD
Even though the tests may have detected carotid artery disease, surgery may not be recommended, especially in people with mild disease. The doctor may recommend treatment with medicines that lower the risk of stroke, such as aspirin. Some patients with advanced carotid artery disease may have a serious risk of stroke if they do not have treatment. Even in people who have no symptoms yet have severe stenosis, the surgery can be important in reducing the risk of disabling stroke. Treatment options are:
Medicines that prevent the formation of blood clots (such as aspirin or clopidogrel) are usually prescribed for at-risk patients, whether or not they have surgical treatment.
Reduction of risk factors
The key risk factors that can worsen plaque formation and vascular disease, and increase the chances of stroke are: smoking, high cholesterol, high blood pressure, obesity, diabetes, heart disease, and a family history of arterial disease. Whether or not their doctor recommends surgery, people should stop smoking, develop healthy eating patterns, lose weight and take medicines to control hypertension, cholesterol, diabetes and other conditions.
Carotid endarterectomy or carotid angioplasty with a stent
For people who have severe stenosis and symptoms, carotid endarterectomy or angioplasty with a stent are treatments most recommended by surgeons and neurologists. The best procedure for you will depend on the shape and condition of your carotid arteries and the risks that apply for you. For people who have severe stenosis but no symptoms, these options are often but not always recommended.